| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $42.66 | $52.48 | |
Anthem BCBS
| Facility | $128.82 | $128.82 | $128.82 | |
Anthem BCBS
| Professional | $61.66 | $72.44 | $85.11 | |
Cigna
| Professional | $20.89 | $25.70 | $25.70 | |
Harvard Pilgrim
| Professional | $46.77 | $46.77 | $46.77 | |
Martin's Point
| Professional | $21.38 | $38.90 | $56.23 | |
United
| Professional | $17.78 | $26.92 | $46.77 |